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American Family Physician May 2007Pleuritic chest pain is a common presenting symptom and has many causes, which range from life-threatening to benign, self-limited conditions. Pulmonary embolism is the... (Review)
Review
Pleuritic chest pain is a common presenting symptom and has many causes, which range from life-threatening to benign, self-limited conditions. Pulmonary embolism is the most common potentially life-threatening cause, found in 5 to 20 percent of patients who present to the emergency department with pleuritic pain. Other clinically significant conditions that may cause pleuritic pain include pericarditis, pneumonia, myocardial infarction, and pneumothorax. Patients should be evaluated appropriately for these conditions before an alternative diagnosis is made. History, physical examination, and chest radiography are recommended for all patients with pleuritic chest pain. Electrocardiography is helpful, especially if there is clinical suspicion of myocardial infarction, pulmonary embolism, or pericarditis. When these other significant causes of pleuritic pain have been excluded, the diagnosis of pleurisy can be made. There are numerous causes of pleurisy, with viral pleurisy among the most common. Other etiologies may be evaluated through additional diagnostic testing in selected patients. Treatment of pleurisy typically consists of pain management with nonsteroidal anti-inflammatory drugs, as well as specific treatments targeted at the underlying cause.
Topics: Chest Pain; Diagnosis, Differential; Humans; Pleurisy; Risk Factors
PubMed: 17508531
DOI: No ID Found -
MMW Fortschritte Der Medizin Feb 2024
Review
Topics: Humans; Familial Mediterranean Fever; Pleurisy
PubMed: 38376680
DOI: 10.1007/s15006-024-3547-6 -
Ryoikibetsu Shokogun Shirizu 1999
Review
Topics: Anti-Bacterial Agents; Bacterial Infections; Diagnosis, Differential; Drainage; Humans; Lactams; Pleurisy; Prognosis
PubMed: 10088435
DOI: No ID Found -
Ryoikibetsu Shokogun Shirizu 1994
Review
Topics: Fibrin; Fibrosis; Humans; Pleura; Pleural Effusion; Pleurisy
PubMed: 8152141
DOI: No ID Found -
Nursing Times
Topics: Humans; Lung; Pleurisy
PubMed: 15796079
DOI: No ID Found -
Updates in Surgery Dec 2023The concept of massive pleurisy (MP) is frequently used to emphasize the significance of the amount of pleural effusion. However, there are significant disagreements...
The concept of massive pleurisy (MP) is frequently used to emphasize the significance of the amount of pleural effusion. However, there are significant disagreements about it due to the lack of a universal definition for MP. In our study, we sought to elucidate these distinctions. We employed a questionnaire comprised of visual and true/false sections. In the visual section, participants were shown real-time lung radiographs and schematic drawings and asked which ones were MP. On the other hand, suggestions regarding diagnosis, treatment, and consultations for MP were questionnaired. The study was comprised of 150 physicians from four distinct centers. On true/false and radiograph questions, physicians from the same branch exhibited differences of up to 50% (p < 0.05). On the level question, each branch involved reached a consensus (p = 0.003). In questions 3, 4, and 5, which also contained a true-false section, the branches gave varying responses, with the exception of the opinion that tube thoracostomy is unquestionably indicated in MP (p < 0.05). Establishing a common language for MP is crucial for clinician collaboration and appropriate patient management. Our study elucidates the divergences of opinion between branches and highlights the need for a unified definition.
Topics: Humans; Thoracostomy; Pleurisy; Pleural Effusion; Chest Tubes; Thoracotomy; Drainage
PubMed: 37943492
DOI: 10.1007/s13304-023-01695-1 -
Revue Medicale de Liege Jan 2014Following three brief clinical reports, we review the literature concerning a rare cause of exudative pleural effusion: the presence of a foreign body in the pleural... (Review)
Review
Following three brief clinical reports, we review the literature concerning a rare cause of exudative pleural effusion: the presence of a foreign body in the pleural cavity. Frequently iatrogenical, this rare etiology of pleural effusion must be envisaged when this complication develops after any invasive peri-thoracic surgery and must be included in the differential diagnosis of recurrent pleural effusions. These effusions have a favorable prognosis after withdrawal of the foreign body.
Topics: Aged; Female; Foreign Bodies; Humans; Male; Middle Aged; Pleural Cavity; Pleural Effusion; Pleurisy; Radiography
PubMed: 24640307
DOI: No ID Found -
Medicine Jul 2017Inflammatory bowel diseases (IBD), including ulcerative colitis (UC) and Crohn's disease, are associated with a large number of extraintestinal manifestations. Pulmonary... (Review)
Review
RATIONALE
Inflammatory bowel diseases (IBD), including ulcerative colitis (UC) and Crohn's disease, are associated with a large number of extraintestinal manifestations. Pulmonary manifestations are infrequently seen in patients with IBD. Moreover, serositis including pleural and pericardial manifestations in UC is rare.
PATIENT CONCERNS
We report a case of UC with acute pleurisy in a 43-year-old man; review literature; and discuss the diagnosis, differential diagnosis, and treatment.
DIAGNOSES
Active duodenal ulcer was found using gastroscopy. Multiple ulcers in segmented pattern were noticed in the left hemi-colon using colonoscopy. An UC in active stage was confirmed subsequently by histology.
INTERVENTION
The patient was treated with bifidobacterium tetravaccine tablets, oral mesalazine and mesalazine enemas. The omeprazole and mucosal protective agents were given to treat the duodenal ulcer.
OUTCOMES
As follow-up, the therapy including oral mesalazine and infliximab regularly was continued and the patient condition was stabilized.
MAIN LESSON
Pulmonary involvement should be considered in patients who develop pleurisy in UC. Infliximab is considered the better available treatment for patients presenting with pleurisy in UC.
Topics: Adult; Colitis, Ulcerative; Diagnosis, Differential; Humans; Male; Pleurisy
PubMed: 28746225
DOI: 10.1097/MD.0000000000007630 -
Zhonghua Jie He He Hu Xi Za Zhi =... Aug 2020
Review
Topics: Diagnosis, Differential; Humans; MicroRNAs; Pleural Effusion; Pleurisy; Tuberculosis, Pleural
PubMed: 32727182
DOI: 10.3760/cma.j.cn112147-20191030-00723 -
Methods in Enzymology 1988
Topics: Animals; Carrageenan; Disease Models, Animal; Inflammation; Male; Pleurisy; Rats; Rats, Inbred Strains
PubMed: 3226314
DOI: 10.1016/0076-6879(88)62088-x